Care Management & Billing

As a care management agency, Council on Aging meets the long-term care needs of individuals by helping them to identify options for care and by contracting with provider agencies to manage delivery of the right services, in the right amounts, at the right times.

Billing and payment are carried out according to COA-established schedules. COA trains providers in billing procedures.


CareDirector is a replacement for QMCO. It launched Oct. 1, 2018. Elderly Services Program (ESP) providers access a CareDirector Provider Portal to retrieve service authorizations and enter billing data. Providers must access the CareDirector Provider Portal using the following:

  • an internet connection
  • Internet Explorer version 11
  • a secure username and password

All providers received training on how to access and use the Provider Portal.  Click here to view the training materials.  There are a number of ways providers can get CareDirector support during the initial launch period.

  • Council on Aging will update an issues log and share it with providers on a regular basis. 
  • Council on Aging has established a support hotline for service providers and other stakeholders to report issues or ask questions about the Provider Portal. The support hotline is staffed M-F, 8AM – 4:30PM. You can reach the hotline at 1-800-788-9495. Voicemail is available.

QMCO will remain active for provider billing until December 31, 2018.  


Access to QMCO will end on 12/31/18. QMCO has been replaced by CareDirector, as noted above.

Elderly Services Program (ESP) providers enter data for billing through web-based software, called QMCO, installed on a secure Windows server.

ESP providers must have Internet access in order to connect to QMCO. Any type of Internet access via an Internet Service Provider (ISP) or direct connection should work. It is providers’ responsibility to ensure they can connect to the Internet and get to the QMCO login portal.

Access the QMCO login page.

Need help with QMCO? Click here to view a Webinar that will help you understand how to accept referrals, input billing, communicate with care managers, and more. For additional help, read the QMCO User’s Manual.


Title III providers primarily enter data for billing into SAMS, but there are a few “blended” services that are entered through QMCO.

Ohio Department of Aging Direct Data Entry

Providers for PASSPORT and the Assisted Living Waiver enter data for billing through and Ohio Department of Aging online Direct Date Entry (DDE) program. Training is provided by Council on Aging. To view the training modules*, click on the links below.

*You must have Windows Media Player and speakers installed on your computer to view and listen to the training modules. Click here for a free download of Windows Media Player.